DR. RIYA DINESH PATEL MD
NPI 1497459622
Family Medicine in Macon, GA
About Dr. Riya Dinesh Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RIYA DINESH PATEL MD (NPI 1497459622) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (105056) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and maintains a secondary practice location in Macon.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Riya Dinesh Patel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Riya Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 61 clinicians in this Medicare group
Macon, GA 31201
- Reassigned Medicare billing, Georgia enrollment
- 483 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health Navicent The Medical Center
Acute Care Hospitals · Macon, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Riya Patel's NPI number?
The NPI number for Riya Patel is 1497459622. It was assigned to this individual provider in the NPPES registry on March 30, 2023.
Where is Riya Patel located?
Riya Patel practices at 5437 Bowman Rd Ste 126, Macon, GA 31210. The listed phone number is (478) 633-1919.
What is Riya Patel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Riya Patel enrolled in Medicare?
Yes. Riya Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Riya Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Riya Patel reassigns Medicare benefits to 2 organizations: The Medical Center Of Central Georgia Inc. (Macon, GA) and Health Services Of Central Georgia, Inc (Macon, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Riya Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Riya Patel accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Riya Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Riya Patel affiliated with any hospitals?
According to CMS data, Riya Patel is affiliated with Atrium Health Navicent The Medical Center.
When was this NPI record last updated?
The NPPES record for Riya Patel was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Riya Dinesh Patel, MD · NPI 1497459622
Family Medicine physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since March 30, 2023.
## Identity
- **NPI:** 1497459622 (Entity type: Individual)
- **Enumerated:** March 30, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 105056 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5437 BOWMAN RD STE 126, Macon, GA 31210-6574
- **Phone:** (478) 633-1919
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Medical Center Of Central Georgia Inc. (NPI 1760557953, Macon, GA); Health Services Of Central Georgia, Inc (NPI 1184679482, Macon, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mercer University School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** June 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1497459622) · Data from the CMS NPPES public registry.